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General NPI Number Information
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NPI Number | 1205370335
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE TRANSPORTATION SERVICES LLC
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 1965 BERNICE RD SUITE 1SW
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City | LANSING
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State | IL
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Zip | 60438-6017
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Country | US
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Telephone | 708-251-8423
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Fax |
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Provider Business Mailing Address
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Address Line | 1965 BERNICE RD SUITE 1SW
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City | LANSING
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State | IL
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Zip | 60438-6017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. GIA DAVIS
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Credential |
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Telephone | 708-275-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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